The Japanese Journal of Clinical Dialysis Vol.13 No.9(3-3)

Theme Amyloid-Related Bone and Joint Derangements -- Clinical Diagnosis and Treatment
Title Surgical treatments for osteoarticular lesions in hemodialyzed patients; A new procedure of arthroscopic surgery
Publish Date 1997/08
Author Tatsuhiko Tanizawa Department of Orthopedics Surgery, Niigata University School of Medicine
[ Summary ] Hip fractures of patients with long term hemodialysis are considered to be more frequent and crucial in treatment. Prophylactic internal fixation surgery is recommended if cystic bone lesions of the femoral neck are present. Although arthroscopic release of the carpal tunnel is a less invasive procedure for carpal tunnel syndrome, adverse effects such as recurrence and soft tissue injury during this procedure should be noted. Shoulder pain is the most frequent osteoarticular complaints among the patients. The thickened bursa seems to cause subacromial impingement which leads to persisting inflammation under the acromion. Open surgery or arthroscopic surgery of subacromial decompression is the most promising surgical strategy.
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